Jordan Weatherspoon

NPI 1831781475 · on the registry since 2021

Practice

Address: 8600 Woodward Ave
Detroit, MI 48202
Phone: (313) 961-4890
Organisation at this address: Neighborhood Service Organization
Community Health And Social Services Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 99

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan